Controlled trial comparing the efficacy of 88% phenol versus 10% sodium hydroxide for chemical matricectomy in the management of ingrown toenail

Indian Journal of Dermatology, Venereology and Leprology
Chander GroverArun Sharma

Abstract

Partial nail avulsion with lateral chemical matricectomy is the treatment of choice for ingrown toenails. Phenol (88%) is the most widely used chemical agent but prolonged postoperative drainage and collateral damage are common. Sodium hydroxide (NaOH) 10% has fewer side-effects. Adult, consenting patients with ingrown toenails were alternately allocated into two treatment groups in the order of their joining the study, to receive either 88% phenol (Group 1, n = 26) or 10% NaOH (Group 0, n = 23) chemical matricectomy. The patients as well as the statistician were blinded to the agent being used. Post-procedure follow-up evaluated median duration of pain, discharge, and healing along with recurrence, if any, in both the groups. The group wise data was statistically analyzed. Both the groups responded well to treatment with the median duration of postoperative pain being 7.92 days in Group 0 and 16.25 days in Group 1 (P < 0.202). Postoperative discharge continued for a median period of 15.42 days (Group 0) and 18.13 days (Group 1) (P < 0.203). The tissue condition normalized in 7.50 days (Group 0) and 15.63 days (Group 1) (P < 0.007). Limited postsurgical follow up of 6 months is a limitation of the study. Chemical matricectomy u...Continue Reading

References

Jul 30, 1988·BMJ : British Medical Journal·P A Sykes, R Kerr

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Citations

Aug 23, 2018·Dermatologic Therapy·Ayse AkkusAkın Aktas
Jan 24, 2020·International Journal of Dermatology·Vishal ThakurEckart Haneke
Feb 16, 2018·Dermatology Practical & Conceptual·Jia TianZhenbing Chen
Feb 1, 2020·Journal of Cutaneous and Aesthetic Surgery·Archana Singal, Ishmeet Kaur
Apr 28, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Marie-Sophie AndréBertrand Richert

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